These are two different kinds of treatments for IBS.
Biofeedback can be used for stress reduction.
However, biofeedback they are talking about there is used more effectively for constipation and bowel retraning.
Gut directed hypnotherapy is a differnt issue.
Its not just that it works on stress and anxiety, that is a side effective of the treatment.
I am not sure if the Person your seeing uses gut directed or in Mike's case gut specific hypnotherapy and that is extremely important. All hypnosis is self hypnosis guided by a therapists. Nothing is 100%.
also as you have noticed it can be expensive to see one in person. It may also be possible insurance will pay depending.
Mike's tapes on here and on the web are cost effective and have been tried by thousands of people.
J Psychosom Res. 2008 Jun;64(6):621-3. Epub 2008 Apr 28. Links
Hypnotherapy for irritable bowel syndrome: the response of colonic and noncolonic symptoms.Whorwell PJ.
University of Manchester, Manchester, United Kingdom. peter.whorwell@manchseter.ac.uk
There is now good evidence that hypnotherapy benefits a substantial proportion of patients with irritable bowel syndrome and that improvement is maintained for many years. Most patients seen in secondary care with this condition also suffer from a wide range of noncolonic symptoms such as backache and lethargy, as well as a number of musculoskeletal, urological, and gynaecological problems. These features do not typically respond well to conventional medical treatment approaches, but fortunately, their intensity is often reduced by hypnosis. The mechanisms by which hypnosis mediates its benefit are not entirely clear, but there is evidence that, in addition to its psychological effects, it can modulate gastrointestinal physiology, alter the central processing of noxious stimuli, and even influence immune function.
PMID: 18501263
Hypnotherapy for functional gastrointestinal disorders: a review.
Miller V, Whorwell PJ.
University of Manchester, Manchester, United Kingdom.
Patients with functional gastrointestinal disorders, such as irritable bowel syndrome, functional dyspepsia, and noncardiac chest pain, can suffer from a range of severe symptoms that often substantially erode quality of life. Unfortunately, these conditions are notoriously difficult to treat, with many patients failing to improve despite being prescribed a wide variety of conventional medications. As a consequence, the potential benefits of hypnotherapy have been explored with evidence that this approach not only relieves symptoms but also appears to restore many of the putative psychological and physiological abnormalities associated with these conditions toward normal. These observations suggest that this form of treatment has considerable potential in aiding the management of functional gastrointestinal disorders and should be integrated into the ongoing medical care that these patients are receiving.
PMID: 19459089
US News and world report
Try Hypnosis and Counseling for IBS and Crohn's
Mind-body techniques show real promise when it comes to easing the pain of some digestive disorders
http://www.usnews.com/health/family-health/digestive-disorders/articles/2008/11/19/try-hypnosis-and-counseling-for-ibs-and-crohns.html
HT and CBT lots of information very impressive
http://www.ibshope.com/viewtopic.php?f=38&t=1763&sid=3c5cf4a5947f19079abd71bdfc557694
About.com - Consistently Successful
Research has consistently shown hypnotherapy to be an effective form of treatment for many individuals who suffer from IBS. Treatment effects include:
Decrease in abdominal pain
Reduction in diarrhea episodes
Reduction of chronic constipation
Decrease in visceral hypersensitivity
Positive effect on motility
Improved quality of life
Reduced doctor visits
Reduced use of medication
Decrease in depression and anxiety
Results are maintained long after treatment ends
About.com, May 5th 2008
BBC News - Hypnosis can heal bowel illness
Hypnotherapy could help people with severe irritable bowel syndrome (IBS), researchers say.
Doctors should consider using this and other "psychological" treatments such as antidepressants to help sufferers, King's College London experts say in the British Medical Journal.
However, a shortage of therapists could hinder this, they add.
Experts said there was growing evidence that IBS cases have psychological as well as biological elements.
BBC News, 25th May 2007
WebMD - All Central Symptoms Improve
"All central IBS symptoms improved substantially from treatment in both studies. In conclusion, hypnosis improves IBS symptoms through reductions in psychological distress and somatization. Improvements were unrelated to changes in the physiological parameters measured."
WebMD, 1st Nov 2002
New York Times - Let the Mind Help Tame An Irritable Bowel
The brain has the ability to inhibit sensations from the gut. But, as Dr. Gerson put it, "I.B.S. patients tend to be hypervigilant — too aware of what is going on in their gut." Through techniques like hypnotherapy and cognitive-behavioral therapy, it is possible to change how the brain perceives what is happening in the body.
In hypnotherapy, patients learn to visualize their colon as functioning more normally. In cognitive-behavioral therapy or short-term psychotherapy, patients can learn to change symptom-provoking beliefs, like thinking that their colon will always be abnormal or that a given circumstance will provoke symptoms.
In a British study of 204 patients in which more than two-thirds of them were initially helped by hypnotherapy, 81 percent of those maintained the improvement up to five years after the treatment. Learning to practice stress-reduction and relaxation techniques can be as helpful as learning which foods to avoid.
New York Times, Sep 2nd 2008
US News & World Report - IBS & Mind Body Techniques show real promise when it comes to treating digestive disorders
Gas. Bloating. Diarrhea. Cramps. The digestive system has many varied and unpleasant ways of asserting itself when the process isn't going smoothly all well worth pondering as the holidays approach.
But while everyone suffers the occasional Imodium moment, a surprisingly large number of people wrestle every day with more disabling disorders, from Crohn's disease to gastroesophageal reflux disease to irritable bowel syndrome, which by itself afflicts as many as 1 in 5 people.
For many, severe pain and the unpredictable need for a bathroom can mean living life as prisoners in their own homes.
Medications offer relief for a number of gastrointestinal conditions. But some drugs have been withdrawn from the market or restricted Zelnorm for IBS, for example, was pulled because it increased cardiac risks and side effects can be a problem.
So, researchers have recently taken an entirely new approach, focusing more on the head than on the plumbing. Studies have shown that mind-body techniques such as cognitive-behavioral therapy and hypnosis are effective at reducing the symptoms of irritable bowel syndrome, which causes pain and altered bowel movements
USnews.com
I could go on but that is quite a bit of reading.
One thing hypnotherapy can help with probably more then biofeedback, is pain and discomfort and bloating.
There are some major differences in these treatments and different targets of the body and symptoms. Hypnotherapy is more all symptoms and biofeedback for stress and anxiety for general biofeedback and for targeted bowel retraining issues like constipation and pelvic floor disorders.
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My website on IBS is www.ibshealth.com
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